There should be a review of how Insurance Companies are denying claims.
This should include how the decision was made and who made it. What was the education and qualification of the person or people who denied it? Did they have the same level of education as the Provider? That includes if the Provider is Alternative Care they cannot be reviewed by an MD who is not trained in Alternative Care. It must be equivalent in decision making. If it was how did the Provider come to the conclusion exactly? Were the guidelines dictated by the Insurance Carrier?
In addition, a review of how it impacted the patient? If the patient already had the care and it is a retroactive denial by the Insurance Company then did the patient benefit from that care? If the patient was unable to get the care because their money went toward an Insurance premium (even if indirectly from an employer), how did this impact their health, function, and long term impact? At times long term impacts are a slow worsening of a condition. At other times forcing the patient to have a certain type of care because another type of care was denied ends up harming them in the long run. We need to know if this happened also.
It is important to determine the impact Insurance Corporations are having on healthcare.